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Individual

DR. VICTORIA PRICHODKO RAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
7800 NATURAL BRIDGE RD, 1 UNIVERSITY BLVD, SAINT LOUIS, MO 63121-4617
(314) 516-5131
(314) 516-5507
Mailing address
1 UNIVERSITY BLVD, 153 MARILLAC HALL, SAINT LOUIS, MO 63121-4400
(314) 516-5131
(314) 516-5507

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2014025418
MO
152WP0200X
Pediatric Optometrist
2014025418
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1881002855
MO
Enumeration date
07/23/2014
Last updated
11/03/2014
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